Individual
DR. CARL A TANDATNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 2ND AVE SW, LARGO, FL 33770-3120
(727) 584-7706
(727) 585-4619
Mailing address
1301 2ND AVE SW, LARGO, FL 33770-3120
(727) 584-7706
(727) 585-4619
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME52151
FL
208VP0000X
Pain Medicine Physician
Primary
ME52151
FL
Other
Enumeration date
06/30/2006
Last updated
02/18/2011
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